Individual provider Active NPI

Catherine Anne McCubbin, LCPC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1962634006
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC3050 Issued in MD
Practice address
2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756
Phone
(410) 757-2077
NPI assigned
Aug 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3050 MD
Mental Health Counselor 101YM0800X LC3050 MD Primary

Addresses

Primary practice location

2650 Quarry Lake Dr Ste 200
Baltimore, MD 21209-3756

Mailing address

PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483

Other practice location 1

1120 N Charles St Ste 101
Baltimore, MD 21201-5593
Phone (443) 419-7674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240130000084 MD Practitioner - Mental Health Counselor 7113370883 Reassigns benefits to 2 organizations
I20240222000016 DC Practitioner - Mental Health Counselor 7113370883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3050MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridging Gaps Through Positive Solutions CurrentSince Nov 1, 2024 Accepting new patients
Bridging Gaps Through Positive Solutions CurrentSince Nov 1, 2024 Accepting new patients
Arundel Mental Health Professionals LLC CurrentSince Jan 1, 2024 Accepting new patients
Community Wellness Outpatient Mental Health Center LLC CurrentSince Sep 22, 2025 Accepting new patients

Locations

2650 Quarry Lake Dr
Ste 200
Baltimore, MD 21209

3310 Eastern Ave
Baltimore, MD 21224
Phone (443) 708-5056

8508 Loch Raven Blvd
Towson, MD 21286
Phone (410) 296-7222

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1962634006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 QUARRY LAKE DR STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093756",
            "telephone_number": "410-757-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 N Charles St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015593",
            "country_code": "US",
            "telephone_number": "443-419-7674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUBBIN",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3050",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.